Provider Demographics
NPI:1033302187
Name:ATG DESIGNING MOBILITY, INC.
Entity Type:Organization
Organization Name:ATG DESIGNING MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-475-0837
Mailing Address - Street 1:805 BROOK ST STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:
Practice Address - Street 1:215 W PALM AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1865
Practice Address - Country:US
Practice Address - Phone:818-846-1371
Practice Address - Fax:818-441-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46259332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies